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Abstract Treatment Result of Tuberculosis Patients in Sanam Chaikhet District, Chachoengsao Province

Somkid Virathipsuporn*

*Sanam Chaikhet Hospital, Chachoengsao Province

The objective of this work was to assess the results of tuberculosis patients treated at Sanam Chaikhet District, Chachoengsao Province by comparing the result of treatment between the Group 1 regimen, i.e., with the assistance of family members or public health volunteers in 141 patients and the Group 2 regimen, with treatment assisted by sub-dis-

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trict personnnel, together with family members or volunteers for 38 patients. The data obtained from the patients’ registration (RorBor. 1K04) and treatment cards were ana- lyzed for the number of patients, means, percentage, and the chi-square test.

Of the 179 patients, 66.5 percent were male and 33.5 percent female, aged 10 to 88 years, with the average being 53.3 years. About 91.1 percent were cases of lung TB, of which 73.2 percent were registered as new cases, and 88.3 percent had no history of al- lergy. The majority (76 percent) of patients received treatment for category I, for which only 35.2 percent of the patients completed the treatment. Successful treatment, as cured patients and completed treatment, was obtained in 64 percent of patients. The results of treatment with the adapted regimen were 81.6 percent cured, 18.0 percent unsuccessful, while those treated with the old regimen showed success in 60 percent of patients and 39.7 percent were unsuccessfully treated. The difference between the two regimens was statistically significant at the level of 0.05.

Key words: tuberculosis patients, tuberculosis treatment, socially assisted regimen

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‡ª√’¬∫‡∑’¬∫º≈°“√√—°…“°àÕπ·≈–À≈—ßª√—∫«‘∏’°“√¥Ÿ·≈

√—°…“ºŸâªÉ«¬æ∫«à“ À≈—ßª√—∫√Ÿª·∫∫ º≈°“√√—°…“ ”‡√Á®√âÕ¬≈–

¯Ò.ˆ ‰¡à ”‡√Á®√âÕ¬≈– Ò¯.. °àÕπª√—∫√Ÿª·∫∫ º≈°“√

√—°…“ ”‡√Á®√âÕ¬≈– ˆ.Û ‰¡à ”‡√Á®√âÕ¬≈– Û˘.˜ ´÷Ëß·µ°µà“ß

°—πÕ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘µ‘∑’Ë√–¥—∫ .ı (µ“√“ß∑’Ë Û-Ù).

«‘®“√≥å

®“°°“√»÷°…“°“√¥Ÿ·≈√—°…“‚¥¬‚√ßæ¬“∫“≈ π“¡™—¬‡¢µ

√à«¡°”°—∫°“√°‘π¬“‚¥¬∫ÿ§§≈„π§√Õ∫§√—«À√◊Õ Õ ¡.´÷Ëß„Àâ º≈°“√√—°…“À“¬√âÕ¬≈– ˆ.Û ·≈–‰¡àÀ“¬√âÕ¬≈– Û˘.˜

‡ª√’¬∫‡∑’¬∫°—∫°“√√—°…“‚¥¬∑“ß‚√ßæ¬“∫“≈ π“¡™—¬‡¢µ àß ºŸâªÉ«¬„ÀâÀπà«¬ß“π “∏“√≥ ÿ¢„π√–¥—∫µ”∫≈√à«¡°—∫∫ÿ§§≈„π

§√Õ∫§√—«·≈–Õ ¡. ™à«¬¥Ÿ·≈¥Ÿ·≈ ¿“æ§«“¡‡ªìπÕ¬Ÿà, „Àâ

§«“¡™à«¬‡À≈◊Õ, „Àâ°”≈—ß„®·≈–¥Ÿ·≈°”°—∫°“√°‘π¬“¢ÕßºŸâ ªÉ«¬Õ¬à“ßµàÕ‡π◊ËÕß ´÷Ëß„Àâº≈°“√√—°…“À“¬√âÕ¬≈– ¯Ò.ˆ ·≈–

‰¡àÀ“¬√âÕ¬≈– Ò¯. ´÷Ëß„Àâº≈·µ°µà“ß°—πÕ¬à“ß¡’π—¬ ”§—≠

∑“ß ∂‘µ‘∑’Ë√–¥—∫ .ı. º≈°“√»÷°…“§√—Èßπ’È Õ¥§≈âÕß°—∫°“√

»÷°…“¢Õß ÿ¡“≈’ Õ¡√‘π∑√å· ß‡æÁ≠^(ˆ) ∑’Ë»÷°…“§«“¡ —¡æ—π∏å

√–À«à“ß°“√ π—∫ πÿπ∑“ß§√Õ∫§√—«·≈–§«“¡√à«¡¡◊Õ„π°“√

√—°…“ºŸâªÉ«¬«—≥‚√§¢Õß»Ÿπ¬å«—≥‚√§‡¢µ Ò ‡™’¬ß„À¡à, ·≈–

Õ¥§≈âÕß°—∫°“√»÷°…“¢Õß ß«π≈—°…≥å ÿ¢ «— ¥‘Ï^(˜) »÷°…“

ª√– ‘∑∏‘¿“æ¢Õß°“√ª√–¬ÿ°µå∑ƒ…Æ’§«“¡ “¡“√∂µπ‡Õß√à«¡

°—∫·√ß π—∫ πÿπ∑“ß —ß§¡ ‡æ◊ËÕª√—∫‡ª≈’Ë¬πæƒµ‘°√√¡ºŸâªÉ«¬

«—≥‚√§„ÀâªØ‘∫—µ‘µ“¡·ºπ°“√√—°…“ ≥ ∂“πµ√«®‚√§ªÕ¥

°√ÿß‡∑æ¡À“π§√. ∑—Èßπ’ÈÕ“®‡π◊ËÕß®“°·√ß π—∫ πÿπ∑“ß —ß§¡

‰¥â·°à°“√¥Ÿ·≈√—°…“‚¥¬‡®â“Àπâ“∑’Ë “∏“√≥ ÿ¢„πæ◊Èπ∑’Ëµ”∫≈ ´÷Ëß

¡’§«“¡„°≈â™‘¥ºŸâªÉ«¬, ¡’‡«≈“‡¬’Ë¬¡∫â“πºŸâªÉ«¬ À√◊ÕºŸâªÉ«¬¡’

§«“¡ –¥«°∑’Ë®–‡¥‘π∑“ß‰ªÀπà«¬∫√‘°“√ “∏“√≥ ÿ¢√–¥—∫

µ”∫≈¡“°°«à“‚√ßæ¬“∫“≈ ∑”„Àâ‡¢â“∂÷ß∫√‘°“√ ·≈–‰¥â√—∫§«“¡

√Ÿâ§«“¡‡¢â“„® “¡“√∂ªØ‘∫—µ‘µπ‰¥âµ“¡·ºπ°“√∫”∫—¥√—°…“.

µ“√“ß∑’Ë Ù ‡ª√’¬∫‡∑’¬∫º≈ ”‡√Á®¢Õß°“√√—°…“°àÕπ·≈–À≈—ßª√—∫«‘∏’°“√¥Ÿ·≈√—°…“ºŸâªÉ«¬

º≈°“√√—°…“

√Ÿª·∫∫°“√√—°…“ ”‡√Á® ‰¡à ”‡√Á® √«¡

√“¬ √âÕ¬≈– √“¬ √âÕ¬≈– √“¬ √âÕ¬≈–

·∫∫‡¥‘¡ ¯ı ˆ.Û ıˆ Û˘.˜ ÒÙÒ Ò

·∫∫„À¡à ÛÒ ¯Ò.ˆ ˜ Ò¯. Û¯ Ò

√«¡ ÒÒˆ ˆÙ.¯ ˆÛ Ûı.Ú Ò˜˘ Ò

‰¶- ·§«√å = ı.˘Ò, §à“æ’ = .Òı

µ“√“ß∑’Ë Û ‡ª√’¬∫‡∑’¬∫º≈°“√√—°…“°àÕπ·≈–À≈—ßª√—∫«‘∏’°“√¥Ÿ·≈√—°…“

º≈°“√√—°…“

√Ÿª·∫∫°“√√—°…“ À“¬ √—°…“§√∫ µ“¬ ≈â¡‡À≈« ¢“¥¬“‡°‘π Ú ‡¥◊Õπ ‚ÕπÕÕ° √«¡

√“¬ √âÕ¬≈– √“¬ √âÕ¬≈– √“¬ √âÕ¬≈– √“¬ √âÕ¬≈– √“¬ √âÕ¬≈– √“¬ √âÕ¬≈– √“¬ √âÕ¬≈–

·∫∫‡¥‘¡ Û¯ Ú˜. Ù˜ ÛÛ.Û ˜ ı. ˆ Ù.Û ÛÙ ÚÙ.Ò ˘ ˆ.Ù ÒÙÒ Ò

·∫∫„À¡à Òı Û˘.ı Òˆ ÙÚ.Ò Ú ı.Û   Ù Ò.ı Ò Ú.ˆ Û¯ Ò

√«¡ ıÛ Ú˘.ˆ ˆÛ Ûı.Ú ˘ ı. ˆ Û.Ù Û¯ ÚÒ.Ú Ò .ˆ Ò˜˘ Ò

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ˆÙ¯

√ÿª«à“°“√»÷°…“§√—Èßπ’È‰¥â· ¥ß«à“°“√‰¥â√—∫·√ß π—∫

πÿπ∑“ß —ß§¡®“°∑—Èß‡®â“Àπâ“∑’Ë “∏“√≥ ÿ¢ Õ ¡. ¡“™‘°„π

§√Õ∫§√—« ‡ªìπºŸâ∑’Ë„Àâ°“√ π—∫ πÿπ„π°“√¥Ÿ·≈ºŸâªÉ«¬, „Àâ§”

ª√÷°…“‡¡◊ËÕ¡’ªí≠À“, ¥Ÿ·≈°“√°‘π¬“·≈– ¿“æ§«“¡‡ªìπÕ¬Ÿàµà“ß Ê àßº≈„Àâ°“√∫”∫—¥√—°…“«—≥‚√§ª√– ∫º≈ ”‡√Á®.

°‘µµ‘°√√¡ª√–°“»

„Àâ∑”°“√»÷°…“«‘®—¬‡√◊ËÕßπ’È ·≈–‡®â“Àπâ“∑’Ë‚√ßæ¬“∫“≈ π“¡

™—¬‡¢µ∑ÿ°∑à“π∑’Ë™à«¬‡À≈◊Õ„π°“√√«∫√«¡¢âÕ¡Ÿ≈.

‡Õ° “√Õâ“ßÕ‘ß

Ò. Kochi A. The global tuberculosis situation and the new control strategy of the World Health Organization. Tubercle 1991;17:1-6.

Ú. ª–¬–π—π∑å V, °≈—¥æà«ß B, µ—π°‘®°ÿ≈ N, ∏√≥’ S. Epidemiology of tuberculosis. „π: ª–¬–π—π∑å V (∫√√≥“∏‘°“√). Information in preparation for an external review of the national tuberculosis programme, Thailand 1995. °√ÿß‡∑æœ: °Õß«—≥‚√§; ÚıÛ¯. Àπâ“

ÚÙ-Û˘.

Û. °Õß«—≥‚√§. °√¡§«∫§ÿ¡‚√§. °√–∑√«ß “∏“√≥ ÿ¢. §Ÿà¡◊ÕªØ‘∫—µ‘

ß“π‡√◊ËÕß °“√‡√àß√—¥ß“π«—≥‚√§„π ∂“π°“√≥å√–∫“¥¢Õß‚√§‡Õ¥ å.

ÚıÛ˘. Àπâ“ Ò-Òı.

Ù. °√–∑√«ß “∏“√≥ ÿ¢. ·π«∑“ß°“√¥”‡π‘πß“π§«∫§ÿ¡«—≥‚√§·Ààß™“µ‘.

°√ÿß‡∑æœ: ‚√ßæ‘¡æå ”π—°ß“πæ√–æÿ∑∏»“ π“·Ààß™“µ‘; ÚıÙ¯.

ˆ. ÿ¡“≈’ Õ¡√‘π∑√å· ß‡æÁ≠. §«“¡ —¡æ—π∏å√–À«à“ß°“√ π—∫ πÿπ∑“ß

§√Õ∫§√—«·≈–§«“¡√à«¡¡◊Õ„π°“√√—°…“¢ÕßºŸâªÉ«¬«—≥‚√§¢Õß»Ÿπ¬å

«—≥‚√§‡¢µ Ò ‡™’¬ß„À¡à. »Ÿπ¬å«—≥‚√§‡¢µ Ò ‡™’¬ß„À¡à. ÚıÙ.

˜. ß«π≈—°…≥å ÿ¢ «— ¥‘Ï. ª√– ‘∑∏‘¿“æ¢Õß°“√ª√–¬ÿ°µå∑ƒ…Æ’§«“¡

“¡“√∂µπ‡Õß√à«¡°—∫·√ß π—∫ πÿπ∑“ß —ß§¡ ‡æ◊ËÕª√—∫‡ª≈’Ë¬π æƒµ‘°√√¡ºŸâªÉ«¬«—≥‚√§„ÀâªØ‘∫—µ‘µ“¡·ºπ°“√√—°…“ ≥ ∂“πµ√«®

‚√§ªÕ¥ °√ÿß‡∑æ¡À“π§√. ¡À“«‘∑¬“≈—¬¡À‘¥≈. ÚıÙı.